Organization
AMPLIFIED THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUTUMN ANNETTE BRUTON MOTR/L (CHIEF EXECUTIVE OFFICER)
(575) 590-0824
Entity
Organization
Contact information
Practice address
94 BOX CANYON RD., CLIFF, NM 88028
(575) 590-0824
Mailing address
PO BOX 86, CLIFF, NM 88028-0086
(575) 590-0824
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
2263
NM
225X00000X
Occupational Therapist
3083
NM
235Z00000X
Speech-Language Pathologist
4700
NM
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
06/13/2014
Last updated
07/21/2022
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